Pneumonia
Conditions
Brief summary
This study will evaluate what effect renal dysfunction has on a drug that has an intravenous (CP-70,429) and an oral form (PF-03709270).
Detailed description
To evaluate the pharmacokinetics and safety.
Interventions
Study Periods 1 and 2 will be separated by a minimum of 14 days. In Period 1, subjects will receive a single dose of CP-70429 (800 mg given as a 1.5 hour intravenous infusion), while in Period 2, subjects will receive a single oral dose of PF-03709270 (1000 mg).
Sponsors
Study design
Eligibility
Inclusion criteria
Subjects must meet one of the following renal function categories: * Normal renal function (CLcr \>80 mL/min). * Mild renal impairment (CLcr \>50 and \<80 mL/min). * Moderate renal impairment (CLcr \>30 and \<50 mL/min). * Severe renal impairment (CLcr \<30 mL/min).
Exclusion criteria
Women who are pregnant or nursing or women who are of childbearing potential. History of clinically significant allergies, including seasonal allergies, and especially drug hypersensitivity including known allergies to components of the study drug formulation, penicillin, carbapenems and/or cephalosporin antibiotics (eg, amoxicillin, amoxicillin/clavulanate, ampicillin, cefadroxil, cephalexin, cefaclor and cefixime). Subjects should not have evidence of a history of the following: * normal renal function: clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological or allergic disease. * renal impairment: any clinically significant (hepatic, cardiac or pulmonary or subjects with acute nephritic syndrome) diseases (except diabetes). Stable co-morbid disease where it is unlikely that the disease and medication will alter the outcome of the study will be allowed.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Renal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose | 0 (pre-dose), 0 to 6, 6 to 12, 12 to 24 hours post-dose | Renal clearance was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau). |
| Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429. Cmax of CP-70429 following CP-70,429 intravenous dose was reported. |
| Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | — |
| Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | Area under the plasma concentration time-curve from zero (pre-dose) to the time of last measured concentration (AUClast). |
| Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | AUC (0-inf) is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf). |
| Renal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose | 0 (pre-dose), 0 to 6, 6 to 12, 12 to 24 hours post-dose | Renal clearance was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau). |
| Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429. Cmax of CP-70429 following CP-70,429 intravenous dose was reported. |
| Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | — |
| Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | Area under the plasma concentration time-curve from zero (pre-dose) to the time of last measured concentration (AUClast). |
| Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | AUC (0-inf) is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Concentration Versus Time Summary of Plasma Formate | 1, 3, 8 hours post-dose | Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLQ =100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0. |
| Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | Baseline up to 7-10 days after the last dose of study drug (up to 32 days) | An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 7-10 days after last dose that were absent before treatment or that worsened relative to pre-treatment state. |
| Number of Participants With Laboratory Abnormalities | Baseline up to 7-10 days after the last dose of study drug (up to 32 days) | Criteria for laboratory test abnormality: Hematology (hemoglobin, hematocrit, red blood corpuscles \[RBC\] count: less than \[\<\]0.8\*lower limit of normal \[LLN\], platelets: \<0.5\*LLN/greater than \[\>\]1.75\*upper limit of normal \[ULN\], leukocytes: \<0.6\*LLN or \>1.5\*ULN, lymphocytes, total neutrophils: \<0.8\*LLN or \>1.2\*ULN, basophils, eosinophil, monocytes: \>1.2\*ULN); Liver Function (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: \>0.3\*ULN, total protein, albumin: \<0.8\*LLN or \>1.2\*ULN); total bilirubin, direct bilirubin, indirect bilirubin: \>1.5\*ULN; Renal Function (blood urea nitrogen, creatinine: \>1.3\*ULN, uric acid: \>1.2\*ULN); Electrolytes (sodium: \<0.95\*LLN or \>1.05\*ULN, potassium, chloride, calcium, bicarbonate: \<0.9\*LLN or \>1.1\*ULN; creatine kinase: \>2.0\*ULN; glucose fasting: \<0.6\*LLN or \>1.5\*ULN, urine white blood corpuscles \[WBC\] and RBC: greater than or equal to (\>=) 6/High Power Field \[HPF\]). |
| Number of Participants With Vital Sign Abnormalities | Baseline up to 7-10 days after the last dose of study drug (up to 32 days) | Criteria for vital signs abnormalities included supine/sitting pulse rate of \<40 beats per minute (bpm) or \>120 bpm, supine systolic blood pressure (SBP) of \<90 millimeter of mercury (mmHg), \>=30 mmHg maximum increase and decrease from baseline in same posture, supine diastolic blood pressure (DBP) of \<50 mmHg, \>=20 mmHg maximum increase and decrease from baseline in same posture, heart rate \<=45 beats per minute (bpm) or \>=120 bpm or decrease/increase of \>=15 bpm. |
| Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities | Baseline up to 7-10 days after the last dose of study drug (up to 32 days) | Criteria for abnormal ECG (12-lead) values were defined as: maximum PR interval \>=300 millisecond (msec) and maximum increase of \>=25 percent for baseline value of \>200 msec and \>=50% for baseline value of \<=200 msec for PR interval, QRS interval \>=200 msec; QT interval corrected using the Fridericia formula (QTcF) \>=500 msec or increase of \>45 msec. |
| Terminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half. |
| Number of Participants With Change From Baseline in Physical Examinations | Baseline, 7-10 days after the last dose of study drug | Physical examination included examination of the skin, eyes, ears, throat, neck, and cardiac, respiratory, gastrointestinal and musculoskeletal systems. The examination assessed the participants for any potential changes in physical status, as determined by the investigator. Any untoward findings identified on physical exams conducted after the administration of the first dose of study medication was captured as an adverse event. |
| Terminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half. |
| Clearance (CL) | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. It was calculated by dividing given intravenous dose by AUC inf. AUC inf is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf). |
| Apparent Oral Clearance (CL/F) | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. It was calculated by dividing the given oral dose by AUCinf. AUC inf is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf). |
| Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 microgram per milliliter (mcg/mL) at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation. |
| Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation. |
| Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | Duration was calculated by subtracting the time at which the plasma concentrations exceeded 1.0 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 1.0 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation. |
| Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose | 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation. |
| Pharmacokinetics of CP-70429 and PF-03709270 Metabolites | 0.5, 2, 4, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment) | PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429 and metabolites. |
| Concentration Versus Time Summary of 2-Ethylbutyric Acid | 1, 3, 8 hours post-dose | Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLQ =100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0. |
Countries
Belgium, United States
Participant flow
Recruitment details
This was a fixed sequence design study (not a complete 2 way crossover) in parallel groups of participants with varying degrees of renal impairment, where all subjects received the intravenous formulation in first period and then received the oral formulation in second period.
Pre-assignment details
Participants were planned to receive CP-70,429 800 milligram (mg) in all reporting groups. For severe renal impairment group, CP-70,429 dose was decreased from 800 mg to 200 mg as per protocol amendment. Only 1 participant received 800 mg dose and was excluded from all descriptive and statistical analyses as per change in planned analysis.
Participants by arm
| Arm | Count |
|---|---|
| CP-70,429 (800 mg) + PF-03709270: Normal Renal Impairment Participants with normal renal function (defined by creatinine clearance \[CLcr\] greater than \[\>\] 80 milliliter per minute \[mL/min\]) received a single dose of CP-70,429 200 mg given as an intravenous infusion over 1.5 hours in first intervention period followed by a single oral dose of PF-03709270 1000 mg in second intervention period. A washout period of at least 14 days was maintained between each intervention period. | 8 |
| CP-70,429 (800 mg) + PF-03709270: Mild Renal Impairment Participants with mild renal impairment (defined by CLcr \>50 and less than or equal to \[\<=\] 80 mL/min) received a single dose of CP-70,429 800 mg given as an intravenous infusion over 1.5 hours in first intervention period followed by a single oral dose of PF-03709270 1000 mg in second intervention period. A washout period of at least 14 days was maintained between each intervention period. | 8 |
| CP-70,429 (800 mg) + PF-03709270: Moderate Renal Impairment Participants with moderate renal impairment (defined by CLcr greater than or equal to \>=30 and \<=50 mL/min) received a single dose of CP--70,429 800 mg given as an intravenous infusion over 1.5 hours in first intervention period followed by a single oral dose of PF-03709270 1000 mg in second intervention period. A washout period of at least 14 days was maintained between each intervention period. | 8 |
| CP-70,429 (800 mg) + PF-03709270: Severe Renal Impairment Participants with severe renal impairment (defined by CLcr \<30 mL/min) received a single dose of CP-70,429 800 mg given as an intravenous infusion over 1.5 hours in first intervention period followed by a single oral dose of PF-03709270 1000 mg in second intervention period. A washout period of at least 14 days was maintained between each intervention period. | 1 |
| CP-70,429 (200 mg) + PF-03709270: Severe Renal Function Participants with severe renal impairment (defined by CLcr \<30 mL/min) received a single dose of CP--70,429 200 mg given as an intravenous infusion over 1.5 hours in first intervention period followed by a single oral dose of PF--03709270 1000 mg in second intervention period. A washout period of at least 14 days was maintained between each intervention period. | 4 |
| Total | 29 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 |
|---|---|---|---|---|---|---|
| Washout Period (at Least 14 Days) | Adverse Event | 0 | 0 | 0 | 0 | 1 |
Baseline characteristics
| Characteristic | CP-70,429 (800 mg) + PF-03709270: Normal Renal Impairment | CP-70,429 (800 mg) + PF-03709270: Mild Renal Impairment | CP-70,429 (800 mg) + PF-03709270: Moderate Renal Impairment | CP-70,429 (800 mg) + PF-03709270: Severe Renal Impairment | CP-70,429 (200 mg) + PF-03709270: Severe Renal Function | Total |
|---|---|---|---|---|---|---|
| Age, Continuous | 60.4 years STANDARD_DEVIATION 3.2 | 60.6 years STANDARD_DEVIATION 7.3 | 64.3 years STANDARD_DEVIATION 15.7 | 55 years | 69 years STANDARD_DEVIATION 9.4 | 62.5 years STANDARD_DEVIATION 9.9 |
| Sex: Female, Male Female | 3 Participants | 3 Participants | 2 Participants | 0 Participants | 4 Participants | 12 Participants |
| Sex: Female, Male Male | 5 Participants | 5 Participants | 6 Participants | 1 Participants | 0 Participants | 17 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — | — / — | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 5 / 8 | 5 / 8 | 4 / 8 | 0 / 1 | 3 / 4 | 6 / 8 | 4 / 8 | 6 / 8 | 3 / 4 |
| serious Total, serious adverse events | 0 / 8 | 0 / 8 | 0 / 8 | 0 / 1 | 1 / 4 | 0 / 8 | 0 / 8 | 0 / 8 | 0 / 4 |
Outcome results
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose
AUC (0-inf) is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose | 32160 ng*hr/mL | Standard Deviation 4775.5 |
| CP-70,429 (800 mg): Mild Renal Impairment | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose | 54070 ng*hr/mL | Standard Deviation 10647 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose | 79870 ng*hr/mL | Standard Deviation 24619 |
| CP-70,429 (200 mg): Severe Renal Impairment | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70,429 Following CP-70,429 Intravenous Dose | 35410 ng*hr/mL | Standard Deviation 9610.6 |
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose
AUC (0-inf) is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose | 6523 ng*hr/mL | Standard Deviation 1329.5 |
| CP-70,429 (800 mg): Mild Renal Impairment | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose | 13670 ng*hr/mL | Standard Deviation 5088.1 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose | 23040 ng*hr/mL | Standard Deviation 9403.9 |
| CP-70,429 (200 mg): Severe Renal Impairment | Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0-inf)] of CP-70429 Following PF-03709270 Oral Dose | 47990 ng*hr/mL | Standard Deviation 16191 |
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose
Area under the plasma concentration time-curve from zero (pre-dose) to the time of last measured concentration (AUClast).
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose | 31990 nanogram*hour per milliliter (ng*hr/mL) | Standard Deviation 4793.3 |
| CP-70,429 (800 mg): Mild Renal Impairment | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose | 53610 nanogram*hour per milliliter (ng*hr/mL) | Standard Deviation 10520 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose | 78940 nanogram*hour per milliliter (ng*hr/mL) | Standard Deviation 23937 |
| CP-70,429 (200 mg): Severe Renal Impairment | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following CP-70,429 Intravenous Dose | 34270 nanogram*hour per milliliter (ng*hr/mL) | Standard Deviation 8430.3 |
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose
Area under the plasma concentration time-curve from zero (pre-dose) to the time of last measured concentration (AUClast).
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose | 6403 ng*hr/mL | Standard Deviation 1355.9 |
| CP-70,429 (800 mg): Mild Renal Impairment | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose | 13400 ng*hr/mL | Standard Deviation 4948.8 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose | 22600 ng*hr/mL | Standard Deviation 9034.3 |
| CP-70,429 (200 mg): Severe Renal Impairment | Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of CP-70429 Following PF-03709270 Oral Dose | 47560 ng*hr/mL | Standard Deviation 15782 |
Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose
PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429. Cmax of CP-70429 following CP-70,429 intravenous dose was reported.
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The pharmacokinetic (PK) parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose | 17700 nanogram per milliliter (ng/mL) | Standard Deviation 1880.3 |
| CP-70,429 (800 mg): Mild Renal Impairment | Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose | 22070 nanogram per milliliter (ng/mL) | Standard Deviation 3420.8 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose | 28940 nanogram per milliliter (ng/mL) | Standard Deviation 6880 |
| CP-70,429 (200 mg): Severe Renal Impairment | Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following CP-70,429 Intravenous Dose | 10340 nanogram per milliliter (ng/mL) | Standard Deviation 2784.3 |
Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose
PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429. Cmax of CP-70429 following CP-70,429 intravenous dose was reported.
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The pharmacokinetic (PK) parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose | 2747 ng/mL | Standard Deviation 420.58 |
| CP-70,429 (800 mg): Mild Renal Impairment | Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose | 3704 ng/mL | Standard Deviation 1053.3 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose | 6215 ng/mL | Standard Deviation 1841.3 |
| CP-70,429 (200 mg): Severe Renal Impairment | Maximum Observed Plasma Concentration (Cmax) of CP-70429 Following PF-03709270 Oral Dose | 7830 ng/mL | Standard Deviation 738.17 |
Renal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose
Renal clearance was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau).
Time frame: 0 (pre-dose), 0 to 6, 6 to 12, 12 to 24 hours post-dose
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Renal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose | 8.035 liter per hour (L/hr) | Standard Deviation 5.578 |
| CP-70,429 (800 mg): Mild Renal Impairment | Renal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose | 6.936 liter per hour (L/hr) | Standard Deviation 2.516 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Renal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose | 3.043 liter per hour (L/hr) | Standard Deviation 3.297 |
| CP-70,429 (200 mg): Severe Renal Impairment | Renal Clearance (CLr) of CP-70429 Following CP-70,429 Intravenous Dose | 2.303 liter per hour (L/hr) | Standard Deviation 0.605 |
Renal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose
Renal clearance was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau).
Time frame: 0 (pre-dose), 0 to 6, 6 to 12, 12 to 24 hours post-dose
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Renal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose | 15.47 L/hr | Standard Deviation 1.885 |
| CP-70,429 (800 mg): Mild Renal Impairment | Renal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose | 7.952 L/hr | Standard Deviation 2.537 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Renal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose | 4.239 L/hr | Standard Deviation 2.647 |
| CP-70,429 (200 mg): Severe Renal Impairment | Renal Clearance (CLr) of CP-70429 Following PF-03709270 Oral Dose | 3.294 L/hr | Standard Deviation 4.398 |
Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose | 1.00 hours | Full Range 11 |
| CP-70,429 (800 mg): Mild Renal Impairment | Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose | 1.50 hours | Full Range 15 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose | 1.50 hours | Full Range 23 |
| CP-70,429 (200 mg): Severe Renal Impairment | Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following CP-70,429 Intravenous Dose | 1.50 hours | Full Range 26 |
Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose | 1.50 hours | Full Range 11 |
| CP-70,429 (800 mg): Mild Renal Impairment | Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose | 2.50 hours | Full Range 15 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose | 1.50 hours | Full Range 23 |
| CP-70,429 (200 mg): Severe Renal Impairment | Time to Reach Maximum Observed Plasma Concentration (Tmax) of CP-70429 Following PF-03709270 Oral Dose | 2.50 hours | Full Range 26 |
Apparent Oral Clearance (CL/F)
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. It was calculated by dividing the given oral dose by AUCinf. AUC inf is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Apparent Oral Clearance (CL/F) | 153.5 L/hr | Standard Deviation 31.54 |
| CP-70,429 (800 mg): Mild Renal Impairment | Apparent Oral Clearance (CL/F) | 73.20 L/hr | Standard Deviation 24.115 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Apparent Oral Clearance (CL/F) | 43.38 L/hr | Standard Deviation 19.719 |
| CP-70,429 (200 mg): Severe Renal Impairment | Apparent Oral Clearance (CL/F) | 20.86 L/hr | Standard Deviation 6.8699 |
Clearance (CL)
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. It was calculated by dividing given intravenous dose by AUC inf. AUC inf is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf).
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Clearance (CL) | 24.87 L/hr | Standard Deviation 3.9001 |
| CP-70,429 (800 mg): Mild Renal Impairment | Clearance (CL) | 14.79 L/hr | Standard Deviation 2.6787 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Clearance (CL) | 10.01 L/hr | Standard Deviation 3.7432 |
| CP-70,429 (200 mg): Severe Renal Impairment | Clearance (CL) | 5.648 L/hr | Standard Deviation 1.25 |
Concentration Versus Time Summary of 2-Ethylbutyric Acid
Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLQ =100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.
Time frame: 1, 3, 8 hours post-dose
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 1 hour | 46.38 hours | Standard Deviation 96.048 |
| CP-70,429 (800 mg): Normal Renal Function | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 3 hours | 20.00 hours | Standard Deviation 56.569 |
| CP-70,429 (800 mg): Normal Renal Function | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 8 hours | NA hours | — |
| CP-70,429 (800 mg): Mild Renal Impairment | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 3 hours | 17.63 hours | Standard Deviation 49.851 |
| CP-70,429 (800 mg): Mild Renal Impairment | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 1 hour | 19.00 hours | Standard Deviation 53.74 |
| CP-70,429 (800 mg): Mild Renal Impairment | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 8 hours | NA hours | — |
| CP-70,429 (800 mg): Moderate Renal Impairment | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 1 hour | 15.25 hours | Standard Deviation 43.134 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 3 hours | NA hours | — |
| CP-70,429 (800 mg): Moderate Renal Impairment | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 8 hours | NA hours | — |
| CP-70,429 (200 mg): Severe Renal Impairment | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 3 hours | NA hours | — |
| CP-70,429 (200 mg): Severe Renal Impairment | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 8 hours | NA hours | — |
| CP-70,429 (200 mg): Severe Renal Impairment | Concentration Versus Time Summary of 2-Ethylbutyric Acid | 1 hour | NA hours | — |
Concentration Versus Time Summary of Plasma Formate
Concentration versus time summary was calculated by setting concentration values below the lower limit of quantification (LLQ =100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) =0.
Time frame: 1, 3, 8 hours post-dose
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Concentration Versus Time Summary of Plasma Formate | 1 hour | NA hours |
| CP-70,429 (800 mg): Normal Renal Function | Concentration Versus Time Summary of Plasma Formate | 3 hours | NA hours |
| CP-70,429 (800 mg): Normal Renal Function | Concentration Versus Time Summary of Plasma Formate | 8 hours | NA hours |
| CP-70,429 (800 mg): Mild Renal Impairment | Concentration Versus Time Summary of Plasma Formate | 3 hours | NA hours |
| CP-70,429 (800 mg): Mild Renal Impairment | Concentration Versus Time Summary of Plasma Formate | 1 hour | NA hours |
| CP-70,429 (800 mg): Mild Renal Impairment | Concentration Versus Time Summary of Plasma Formate | 8 hours | NA hours |
| CP-70,429 (800 mg): Moderate Renal Impairment | Concentration Versus Time Summary of Plasma Formate | 1 hour | NA hours |
| CP-70,429 (800 mg): Moderate Renal Impairment | Concentration Versus Time Summary of Plasma Formate | 3 hours | NA hours |
| CP-70,429 (800 mg): Moderate Renal Impairment | Concentration Versus Time Summary of Plasma Formate | 8 hours | NA hours |
| CP-70,429 (200 mg): Severe Renal Impairment | Concentration Versus Time Summary of Plasma Formate | 3 hours | NA hours |
| CP-70,429 (200 mg): Severe Renal Impairment | Concentration Versus Time Summary of Plasma Formate | 8 hours | NA hours |
| CP-70,429 (200 mg): Severe Renal Impairment | Concentration Versus Time Summary of Plasma Formate | 1 hour | NA hours |
Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose
Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 microgram per milliliter (mcg/mL) at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose | 5.310 hours | Full Range 0.641 |
| CP-70,429 (800 mg): Mild Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose | 8.855 hours | Full Range 1.542 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose | 11.40 hours | Full Range 3.389 |
| CP-70,429 (200 mg): Severe Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following Intravenous Dose | 10.70 hours | Full Range 4.009 |
Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose
Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose | 3.915 hours | Full Range 0.121 |
| CP-70,429 (800 mg): Mild Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose | 6.440 hours | Full Range 0.335 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose | 8.185 hours | Full Range 0.566 |
| CP-70,429 (200 mg): Severe Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 0.5 Microgram Per Milliliter Following PF-03709270 Oral Dose | 18.30 hours | Full Range 0.832 |
Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose
Duration was calculated by subtracting the time at which the plasma concentrations exceeded 1.0 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 1.0 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose | 3.935 hours | Full Range 0.461 |
| CP-70,429 (800 mg): Mild Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose | 7.190 hours | Full Range 0.849 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose | 9.240 hours | Full Range 2.161 |
| CP-70,429 (200 mg): Severe Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following Intravenous Dose | 7.710 hours | Full Range 2.304 |
Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose
Duration was calculated by subtracting the time at which the plasma concentrations exceeded 0.5 mcg/mL at the ascending part of the concentration-time profile from the time at which the plasma concentrations fell below 0.5 mcg/mL at the descending part of the profile. If these times fell between 2 observed concentrations, a method of linear interpolation was used for best estimation.
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose | 2.895 hours | Full Range 0.121 |
| CP-70,429 (800 mg): Mild Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose | 4.990 hours | Full Range 0.335 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose | 6.320 hours | Full Range 0.566 |
| CP-70,429 (200 mg): Severe Renal Impairment | Duration of Plasma Concentrations of CP-70429 Exceeding 1.0 Microgram Per Milliliter Following PF-03709270 Oral Dose | 12.15 hours | Full Range 0.832 |
Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities
Criteria for abnormal ECG (12-lead) values were defined as: maximum PR interval \>=300 millisecond (msec) and maximum increase of \>=25 percent for baseline value of \>200 msec and \>=50% for baseline value of \<=200 msec for PR interval, QRS interval \>=200 msec; QT interval corrected using the Fridericia formula (QTcF) \>=500 msec or increase of \>45 msec.
Time frame: Baseline up to 7-10 days after the last dose of study drug (up to 32 days)
Population: Safety analysis set included all participants who received the study medication.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities | 0 participants |
| CP-70,429 (800 mg): Mild Renal Impairment | Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities | 3 participants |
| CP-70,429 (800 mg): Moderate Renal Impairment | Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities | 0 participants |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities | 0 participants |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities | 3 participants |
| PF-03709270 (1000 mg): Normal Renal Function | Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities | 1 participants |
| PF-03709270 (1000 mg): Mild Renal Impairment | Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities | 4 participants |
| PF-03709270 (1000 mg): Moderate Renal Impairment | Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities | 4 participants |
| PF-03709270 (1000 mg): Severe Renal Impairment | Number of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities | 2 participants |
Number of Participants With Change From Baseline in Physical Examinations
Physical examination included examination of the skin, eyes, ears, throat, neck, and cardiac, respiratory, gastrointestinal and musculoskeletal systems. The examination assessed the participants for any potential changes in physical status, as determined by the investigator. Any untoward findings identified on physical exams conducted after the administration of the first dose of study medication was captured as an adverse event.
Time frame: Baseline, 7-10 days after the last dose of study drug
Population: Safety analysis set included all participants who received the study medication.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Number of Participants With Change From Baseline in Physical Examinations | 0 participants |
| CP-70,429 (800 mg): Mild Renal Impairment | Number of Participants With Change From Baseline in Physical Examinations | 0 participants |
| CP-70,429 (800 mg): Moderate Renal Impairment | Number of Participants With Change From Baseline in Physical Examinations | 0 participants |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With Change From Baseline in Physical Examinations | 0 participants |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With Change From Baseline in Physical Examinations | 0 participants |
| PF-03709270 (1000 mg): Normal Renal Function | Number of Participants With Change From Baseline in Physical Examinations | 0 participants |
| PF-03709270 (1000 mg): Mild Renal Impairment | Number of Participants With Change From Baseline in Physical Examinations | 0 participants |
| PF-03709270 (1000 mg): Moderate Renal Impairment | Number of Participants With Change From Baseline in Physical Examinations | 0 participants |
| PF-03709270 (1000 mg): Severe Renal Impairment | Number of Participants With Change From Baseline in Physical Examinations | 0 participants |
Number of Participants With Laboratory Abnormalities
Criteria for laboratory test abnormality: Hematology (hemoglobin, hematocrit, red blood corpuscles \[RBC\] count: less than \[\<\]0.8\*lower limit of normal \[LLN\], platelets: \<0.5\*LLN/greater than \[\>\]1.75\*upper limit of normal \[ULN\], leukocytes: \<0.6\*LLN or \>1.5\*ULN, lymphocytes, total neutrophils: \<0.8\*LLN or \>1.2\*ULN, basophils, eosinophil, monocytes: \>1.2\*ULN); Liver Function (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: \>0.3\*ULN, total protein, albumin: \<0.8\*LLN or \>1.2\*ULN); total bilirubin, direct bilirubin, indirect bilirubin: \>1.5\*ULN; Renal Function (blood urea nitrogen, creatinine: \>1.3\*ULN, uric acid: \>1.2\*ULN); Electrolytes (sodium: \<0.95\*LLN or \>1.05\*ULN, potassium, chloride, calcium, bicarbonate: \<0.9\*LLN or \>1.1\*ULN; creatine kinase: \>2.0\*ULN; glucose fasting: \<0.6\*LLN or \>1.5\*ULN, urine white blood corpuscles \[WBC\] and RBC: greater than or equal to (\>=) 6/High Power Field \[HPF\]).
Time frame: Baseline up to 7-10 days after the last dose of study drug (up to 32 days)
Population: Safety analysis set included all participants who received the study medication.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Number of Participants With Laboratory Abnormalities | 2 participants |
| CP-70,429 (800 mg): Mild Renal Impairment | Number of Participants With Laboratory Abnormalities | 3 participants |
| CP-70,429 (800 mg): Moderate Renal Impairment | Number of Participants With Laboratory Abnormalities | 7 participants |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With Laboratory Abnormalities | 1 participants |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With Laboratory Abnormalities | 4 participants |
| PF-03709270 (1000 mg): Normal Renal Function | Number of Participants With Laboratory Abnormalities | 1 participants |
| PF-03709270 (1000 mg): Mild Renal Impairment | Number of Participants With Laboratory Abnormalities | 3 participants |
| PF-03709270 (1000 mg): Moderate Renal Impairment | Number of Participants With Laboratory Abnormalities | 8 participants |
| PF-03709270 (1000 mg): Severe Renal Impairment | Number of Participants With Laboratory Abnormalities | 4 participants |
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 7-10 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.
Time frame: Baseline up to 7-10 days after the last dose of study drug (up to 32 days)
Population: Safety analysis set included all participants who received the study medication.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 0 participants | — |
| CP-70,429 (800 mg): Normal Renal Function | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 5 participants | 0.216 |
| CP-70,429 (800 mg): Mild Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 0 participants | — |
| CP-70,429 (800 mg): Mild Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 5 participants | 0.586 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 4 participants | 0.269 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 0 participants | — |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 0 participants | 0.579 |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 0 participants | — |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 3 participants | 0.121 |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 1 participants | — |
| PF-03709270 (1000 mg): Normal Renal Function | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 6 participants | 0.335 |
| PF-03709270 (1000 mg): Normal Renal Function | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 0 participants | — |
| PF-03709270 (1000 mg): Mild Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 4 participants | 0.566 |
| PF-03709270 (1000 mg): Mild Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 0 participants | — |
| PF-03709270 (1000 mg): Moderate Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 6 participants | 0.831 |
| PF-03709270 (1000 mg): Moderate Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 0 participants | — |
| PF-03709270 (1000 mg): Severe Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 0 participants | — |
| PF-03709270 (1000 mg): Severe Renal Impairment | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 3 participants | — |
Number of Participants With Vital Sign Abnormalities
Criteria for vital signs abnormalities included supine/sitting pulse rate of \<40 beats per minute (bpm) or \>120 bpm, supine systolic blood pressure (SBP) of \<90 millimeter of mercury (mmHg), \>=30 mmHg maximum increase and decrease from baseline in same posture, supine diastolic blood pressure (DBP) of \<50 mmHg, \>=20 mmHg maximum increase and decrease from baseline in same posture, heart rate \<=45 beats per minute (bpm) or \>=120 bpm or decrease/increase of \>=15 bpm.
Time frame: Baseline up to 7-10 days after the last dose of study drug (up to 32 days)
Population: Safety analysis set included all participants who received the study medication.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Number of Participants With Vital Sign Abnormalities | 0 participants |
| CP-70,429 (800 mg): Mild Renal Impairment | Number of Participants With Vital Sign Abnormalities | 0 participants |
| CP-70,429 (800 mg): Moderate Renal Impairment | Number of Participants With Vital Sign Abnormalities | 1 participants |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With Vital Sign Abnormalities | 0 participants |
| CP-70,429 (200 mg): Severe Renal Impairment | Number of Participants With Vital Sign Abnormalities | 1 participants |
| PF-03709270 (1000 mg): Normal Renal Function | Number of Participants With Vital Sign Abnormalities | 0 participants |
| PF-03709270 (1000 mg): Mild Renal Impairment | Number of Participants With Vital Sign Abnormalities | 1 participants |
| PF-03709270 (1000 mg): Moderate Renal Impairment | Number of Participants With Vital Sign Abnormalities | 2 participants |
| PF-03709270 (1000 mg): Severe Renal Impairment | Number of Participants With Vital Sign Abnormalities | 0 participants |
Pharmacokinetics of CP-70429 and PF-03709270 Metabolites
PF-03709270 is an oral prodrug of CP-70,429. Upon oral absorption, PF-03709270 is rapidly hydrolyzed, yielding the active drug CP-70,429 and metabolites.
Time frame: 0.5, 2, 4, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: Data was not collected for this outcome because the metabolite data for CP-70,429 and PF-03709270 were not analyzed as per change in planned analysis
Terminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose
Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half.
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Terminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose | 1.034 hours | Standard Deviation 0.216 |
| CP-70,429 (800 mg): Mild Renal Impairment | Terminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose | 1.660 hours | Standard Deviation 0.586 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Terminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose | 1.823 hours | Standard Deviation 0.269 |
| CP-70,429 (200 mg): Severe Renal Impairment | Terminal Elimination Half Life (t1/2) of CP-70429 Following CP-70,429 Intravenous Dose | 2.313 hours | Standard Deviation 0.579 |
Terminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose
Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half.
Time frame: 0 (pre-dose), 0.5, 1.0, 1.5, 2, 3, 4, 6, 8, 12, 24 hours post-dose (for all participants) and 48 hours post-dose (for participants with moderate and severe renal impairment)
Population: The PK parameter analysis population included all treated participants who had at least 1 of the PK parameters of interest in at least 1 treatment period.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CP-70,429 (800 mg): Normal Renal Function | Terminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose | 0.837 hours | Standard Deviation 0.121 |
| CP-70,429 (800 mg): Mild Renal Impairment | Terminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose | 1.451 hours | Standard Deviation 0.335 |
| CP-70,429 (800 mg): Moderate Renal Impairment | Terminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose | 1.809 hours | Standard Deviation 0.566 |
| CP-70,429 (200 mg): Severe Renal Impairment | Terminal Elimination Half Life (t1/2) of CP-70429 Following PF-03709270 Oral Dose | 2.750 hours | Standard Deviation 0.832 |